Dental Depot South
Dental Depot South is a General Practice Dentistry in Oklahoma City, Oklahoma. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1024 SW 104th StOklahoma City, OK 73139-2990
Phone: (405) 691-1123
Fax: (405) 691-2674
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1578768180 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gaylon Zissa — Director Provider Relations · (405) 691-1123 |
| NPI enumerated | June 15, 2007 |
| Last updated in NPPES | June 25, 2021 |
| Certification date | June 25, 2021 |
| Mailing address | 2828 Nw 30th St, Oklahoma City, OK 73112-7404 |
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